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NPI Code Detail

MEDICARE: DR. BRADLEY M LINZIE MD

MEDICARE: DR. BRADLEY M LINZIE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist38238MN
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician38238MN

General Provider Information

NPI Number : 1083638738
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY M LINZIE MD
Provider Business Mailing Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3000
Fax Number :
Provider Business Practice Location Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 02/10/2026

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Directions to “ DR. BRADLEY M LINZIE MD” Practice Location

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